Riddhisiddhi: SCHOLARSHIP APPLICATION FORM

SCHOLARSHIP APPLICATION FORM
Application will be valid after completion of the following documents
Copy of S.E.E Marksheet*

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PP size photo*

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Copy of Citizenship/S.E.E Admit Card (if Available)*

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PERSONAL DETAILS
Name*

First NameMiddle NameLast Name
Gender*

MaleFemaleOther
Obtained Marks:*
Symbol Number*
Course Interested*

ScienceManagementHumanitiesEducationOther
Date of Birth (A.D.)*

MonthDayYear
Date
Date of Birth (B.S.)*
Place of Birth*

Village/Municipality

Street Address Line 2

DistrictZone

Postal / Zip Code
Nationality*
Phone Number*
Chronic Disease (if Any)*
SCHOOL DETAILS
School Name*
School Phone Number*
Area Name*

Village/Municipality

Street Address Line 2

DistrictZone

Postal / Zip Code
FAMILY DETAILS
Father's Name*

First NameMiddle NameLast Name
Mother's Name*

First NameMiddle NameLast Name
Father's Occupation*
Mother's Occupation*
Resident Address*
Contact Number*
Phone No/ Landline*
Head office
Third Floor, Central Business Park
Thapathali, Kathmandu
+977-01-5359071/ 5361499
Sales office
Lalita House, Naxal Kathmandu
+977-01-4441235/ 4441250/ 4545823
9802333023 / 9801968654
Factory
Ratomate, Hetauda-15,
Makawanpur
9802270766
Regional Office
Hetauda
9802335529 / 9802332348 / 9802333267
Should be Empty:

SCHOLARSHIP APPLICATION FORM